Experience

CoverMyMeds

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Manager

  • Sep 2021 - Present

  • Directly support product launch activities for pharma client rare disease buy and bill therapy for myasthenia gravis, supporting neurology customers in Ohio, Kentucky, Tennessee, and West Virginia. • Deliver on implementing key market access value messaging for patient access thru educational expertise on therapy acquisition, site of care, education on medical vs pharmacy benefits, billing & coding for an unclassified JCode, and payer policy requirements. • Build trust and maintain strong relationships with key customer stakeholders including physicians, specialty pharmacy leadership and pharmacists and revenue cycle staff. • Provide education on geographic resources such as site of care and payer trends for market access and territory business managers. Notable Accomplishments: • Key leader in helping the Ohio River Valley territory exceed launch sales metric expectations. Show less



AmerisourceBergen

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Assistant Director

  • Mar 2015 - Jul 2021

  • Directly support Pfizer’s 34-personnel Inflammation and Immunology (I&I) reimbursement field team, spearheading financial and reimbursement assistance; responsible for 100+ accounts including Cleveland Clinic, UH Cleveland Specialty Pharmacy, Ohio Health, Nationwide Children’s Hospital, Premier Health Partners, and WVU Medicine. • Provide consultation and best practices on product reimbursement operations, including utilizing reimbursement tools and resources, ensuring total compliance, building customer and sales relationships, pre-call planning, managed care, and understanding specialty pharmacy practices. • Ensure program profitability by serving as a SME on reimbursement and market access policies and updates, partner with clients to lead the implementation of copay programs and implement strategic approaches to program practices. • Manage operations virtually and on site, assist providers in resolving complex reimbursement issues, develop consultative education and training programs, and draft customized reporting for patient enrollments, team performance, and operational gaps. • Develop and deliver ongoing training and support for Physicians, Pharmacists, Nurses, and Administrators, focus on reimbursement support program operation, prescription pull-through, authorization requirements, claim denials and appeals, and patient financial assistance and co-pay support programs. • Committee Lead for the Xcenda Connect Wellbeing Committee, coordinate and promote internal programs including Feeding America fundraising initiative, healthy eating campaign, and ongoing corporate health and wellness education; greatly increased employee engagement and was asked to serve 2nd term. Show less



Cardinal Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Senior Project Manager

  • Jan 2013 - Jul 2014

  -• Tasked by executive leadership to develop new and innovative provider-facing Qlikview-based dashboard data analytics tool to compare oncology drug cost to reimbursement and automate GPO contract performance data. • Launched program nationally 6 months ahead of schedule, after previously being 8 months behind; new tool assisted in growing GPO sales 300% within 24 months and attaining #1 Specialty GPO in the market. • Developed and executed implementation and support plan, created project charter, outlined testing, and led change management actions, while adhering to established integration resource guidelines, standards, and processes. • Conducted initial due diligence on technology and business operations, developed project documentation, integration plans, timelines, resource requirements, personnel structures, and go-live implementation and training schedules. • Guided establishment of business and technical requirements, outlined work and dataflow needed for customers to view and analyze drug purchase data, compare drug purchase data by location, JCode billable units, generic vs. brand, reimbursement by payer, and ASP Forecasting. • Directed 12 Software Programmers, Data Specialists, Business Analysts, and medical experts, determined success metrics, assigned project duties, collected status reports, and provided ongoing training and coaching; built team from scratch and was able to develop cohesive unit that produced high-quality results and rolled out impactful solution. • Educated Service Team on teaching customers to leverage contract data effectively, common customer challenges and pain points, drug inventory management best practices, and identify opportunities to provide additional services. Show less



Broome Oncology LLC

• United States
• Research Services
• 1 - 100 Employee

• Lead Consultant, Finance & Operations

  • May 2011 - Jan 2013

  • Served as Senior Leader in charge of turning around financially insolvent private cancer center with over $40M annual net revenue; directed and executed leadership, vision, and change management strategies for team of 5 physicians and 60 staff members across 2 service sites. • Commended for restoring solvency within 6 months, reduced commercial payer contracted payment rates 20%, increased accounts receivable collection 50%, and decreased drug and supply inventory 70% through new inventory management operations and KPI reporting. • Negotiated favorable payment terms with pharmaceutical and medical suppliers, renegotiated payer contracts with Highmark BlueCross BlueShield, Excellus, and UHC, and hired in-house billing and revenue cycle professionals. • Reduced clinical incidents 90% by onboarding new Medical Director, Director of Nursing, and Clinical Quality Team to oversee clinical processes, policies, and pathways, which resulted in OCN certification within 8 months. • Expanded Palliative Care Program, established Oncologist Rep on hospital P&T committee, and partnered with leadership to provide quantitative research and feasibility study on joint venture between hospital and practice. Show less



Tennessee Oncology

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Director, Operational Excellence

  • Feb 2010 - Apr 2011

  • Chosen by leadership to formulate and implement new Patient Access Services program to ensure proactive financial access for patients and avert loss of revenue due to lack of access; supported 20 directors and 160 staff members in daily practice operations across 23 sites. • Boosted front end collection 20%, decreased front end claim denials 35%, and reduced head count 25% by identifying redundancies, and consolidating multiple departments into one new Patient Access to Care Services (PACS) team. • Launched Varian EHR system at 23 sites, incorporated project management methodologies, engagement initiatives, and specialized training for Physicians, Nurses, and Front Office Staff; new system eliminated physical charts and increased patient record access and collaboration. • Collaborated with leadership team to develop value proposition and $650K budget for a new revenue cycle system, completed project 3 months ahead of schedule following partnership with multiple vendors; introduced new financial efficiencies that proved to have positive ROIs. • Served on the Dendreon Provenge committee to launch new immunotherapy, provided quantitative data to develop internal patient workflow processes, and established data collection, reporting, and analysis practices. Show less



Dayton Physicians Network

• United States
• Medical Practices
• 100 - 200 Employee

• Practice Manager, Medical Oncology Sevice Line

  • Nov 2001 - Aug 2009

  • Led growth strategy to expand small physician medical oncology practice to a large multi-specialty organization with 90 staff, 4 service sites, and $95M annual service line budget. • Increased radiation and diagnostic services revenue 60% and pathology service line revenue 5% annually, exceeded revenue and patient volume projections year-over-year, reduced staffing overhead 20% by utilizing Lean Six Sigma methodologies, and upgraded Phone, EMR, and Practice Management systems. • Served on multiple pharma advisory boards. Show less



Oncology Practice Alliance

• Columbus, Ohio

• Board Member

  • 2007 - 2009



The US Oncology Network

• Hospitals and Health Care
• 700 & Above Employee

• Business Manager

  • Nov 1997 - Nov 2001



Ohio Oncology MGMA

• Columbus, Ohio

• Past President

  • 1997 - 2000



Premier Health Partners

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Reimbursement Project Manager

  • Nov 1989 - Nov 1997